Lesson 4 Flashcards
Typically focus on public health concerns
Federal Government Healthcare Facilities
The Medicare Access & CHIP (Children’s Health Insurance Program) Reauthorization Act of 2015 provides incentives for quality of care over quantity of care and a reasonably priced comprehensive healthcare plan for all children of low and moderate-income families.
MARCA
Rules about how laws are to be used
Regulation
Includes services to treat short but severe illness or injury
Acute care
A request for payment to an insurance company to cover medical service costs
Claims
The first and most basic level of services for injury or illness, often serving as the entry point for patient into the healthcare system
Primary Care
Plans to keep all the team and its resources in compliance with current laws and regulations
Compliance
Charge for their services, pay taxes, and their income from services partially pays expenses and partially is profit
For Profit Healthcare Organizations
Income from services
Revenue
Each service a provider performs is billed to the insurance for a specific fee, and the insurance pays for each services individually
Fee-for-Service Basis
A mandatory rule created by government agency
Law
Put profit back into the organization for future use
Not-for-Profit Healthcare Organizations
The range of healthcare services and service location types that are offered in the industry
Continuum Of Care
Healthcare professionals that provide healthcare services and are credentialed to bill for their services
Healthcare Providers
The type of services for volunteers in medical research and patients who aren’t responding to tertiary care, and is innovative, research-driven, and experimental
Quaternary Care
A provider of healthcare services is paid to care for a roster of patients for a period of time.
Capitation
Includes service that detect and prevent medical problems
Preventive Care
Alleviates the cost of medical care and services for individuals patients
Health Insurance
The type of service where the patient is often in dire need of expert medical care and may not survive without the skill and resources that tertiary care others
Tertiary Care
Serve active and retired military personnel and their families
Military treatment facilities
Includes services to treat long-term illness
Chronic illness care
The health information technology for economic and Clinical Health act reinforces issues of privacy and security of health information and promotes the use of electronic technology in healthcare
HITECH
Provide some Healthcare facilities to the members of their communites
Local Government Facilities
Strategically located in the states to provide a foundation of care for the citizens of that state
State Government Healthcare Facilities
